Association of PTSD Symptoms With Asthma Attacks Among Hurricane Katrina Survivors

The relationship between posttraumatic stress disorder (PTSD) and asthma in the wake of natural disasters is poorly understood. Using pre- and postdisaster data (N=405) from the Resilience in Survivors of Katrina (RISK) project, we examined associations between PTSD symptoms, measured by the Impact of Event Scale-Revised (IES-R), and self-reported postdisaster asthma attacks. A 1-point increase in the IES-R avoidance score, which corresponded to one standard deviation change in this sample, was associated with double the odds of reporting an asthma attack or episode since the hurricane, 95% CI Revise spacing among characters: [1.22, 4.16]. Association with hyperarousal and intrusion symptoms was null. Further research using objective measures of asthma morbidity is needed; nevertheless, these findings may help inform postdisaster health services delivery and predisaster mitigation planning. Resumen La relacion entre el estres post-traumatico (TEPT) y asma a raiz de los desastres naturales es comprendido pobremente. Usando registros pre y post desastre (N = 405) del proyecto Sobreviviventes Resilientes del Katrina (RISK, por la sigla en ingles), examinamos la asociacion entre los sintomas TEPT medidos a traves de la Escala Revisada del Impacto de Eventos (IES-R), y auto-reporte de ataques de asma. El aumento de un punto de desviacion en la Escala de Evitacion IES-R, que correspondio a una desviacion estandar de cambio en esta muestra, estuvo asociada al doble de posibilidades de reporte de ataques o episodios de asma desde el huracan, 95% CI [1.22, 4.16]. No hubo ninguna asociacion entre hiper-alerta y sintomas intrusivos. Se necesitan mayores investigaciones que usen mediciones objetivas de morbilidad del asma, sin embargo, estos hallazgos pueden ayudar en informar el envio de ayuda de servicios de salud post-desastre y en planificar en la mitigacion pre-desastre. Traditional and Simplified Chinese Abstracts by AsianSTSS ??: ????????????????????????? ??: ??????(PTSD)???????????????????????????????????????(RISK)?????????(N = 405),?????????(???)(IES-R)???????????????,??PTSD???????????????????????,IES-R?????????,?????????????????????,95%???? [1.22, 4.16]????????????????????????????????????;???????????????????????????? ??: ????????????????????????? ??: ??????(PTSD)???????????????????????????????????????(RISK)?????????(N = 405),?????????(???)(IES-R)???????????????,??PTSD????????????????????????,IES-R?????????,?????????????????????,95%???? [1.22, 4.16]????????????????????????????????????;????????????????????????????